21

votes

What Stupid Things Have Medical Professionals Told YOU?

Answered on September 12, 2014
Created June 16, 2012 at 5:12 PM

On Thursday, I went to the doctors, because I want my bloodwork done. I was prediabetic, but my last AC1, a year ago, was great. My doctor's office is a teaching office for new doctors, and I got a resident. After taking a history, she measured my waist and said, "You still have a ways to go, we recommend all women have a waist under 81cm (31inches)."

I was annoyed, because I've lost over 100lbs in under a year. Plus, I can't stand standardized body expectations. My regular doctor would not have said such a thing to me.

Later, I told my sister's gf about this. She's a nurse in a heart surgery unit. I told her that my caloric intake is consistently between 900-1500, and she said, "The recommendation for women is 1300."

%^(*&!! Seriously? My BMR is 1769 at my current weight. WTH is wrong with them? I bike, walk 5 miles a day, weightlift regularly. 1300 for all women, regardless of size, activity? If anything, I've been concerned that I'm not eating enough.

Anyways, I want to know what the stupid things medical professionals have told you? And given my BMR 1769, and my activity level's high, what is your opinion on what my caloric requirements are for safe, consistent weightloss?

Ba0268a02c02863642b1394852566ab6

(27)

on February 17, 2013
at 09:27 AM

right but it doesnt address the underlying concern

75d65450b6ff0be7b969fb321f1200ac

(2506)

on February 10, 2013
at 01:55 PM

That's outrageous. When I reported to my Endo of strange stomach pains and digestion issues he wanted to do an endoscopy. I said "can I perhaps be check for H. pylori first through a blood test which might make the endoscopy unnecessary?". He said "I don't think your problem is bacteria in origin". So I had an endoscopy and sure enough was diagnosed with H. pylori, ... and I am 100% better now. But I will not go back to that Endo.

F15e0bae42dbf0b8cfc71e62902497b4

(2036)

on February 10, 2013
at 06:50 AM

that's a highly effective treatment.

F15e0bae42dbf0b8cfc71e62902497b4

(2036)

on February 10, 2013
at 06:49 AM

Better than the doctor who diagnosed me with IBS based on symptoms and zero testing, told me to go get some of that "double fiber" whole grain bread and take metamucil. I had/have celiac. Didn't find out until 3 years (and a lot of fiber) later.

532cfd279d793e8fcc23b9f6d91dde5c

(1981)

on February 10, 2013
at 04:13 AM

Homeopathy is not suppressed, last I checked, Boiron products were taking up 8 feet of shelving at the wal-mart pharmacy. It just doesn't have any good supporting evidence.

7dab2d8c97e44d8d0c298e5c9d5d75bc

(641)

on January 04, 2013
at 01:03 PM

Awesome story! Thank you for posting!

6371f0ae0c075ded1b8cd30aafd4bf16

on July 11, 2012
at 01:29 AM

Digestion is getting better but I'm still having issues with my lightheadedness.

31381cfeb5d6da6fc75f80ab68e041ea

(560)

on July 10, 2012
at 09:34 PM

lol "i asked for a second opinion because i'm male"

31381cfeb5d6da6fc75f80ab68e041ea

(560)

on July 10, 2012
at 09:33 PM

oh my gosh! i'm so sorry! how are you feeling now?

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 18, 2012
at 06:03 PM

The OP was confusing generic advice with poor advice. Generic medical advice is not necessarily stupid nor poor.

F31d10b54b31428e189d9b771bf7b1d1

(1439)

on June 18, 2012
at 04:45 PM

Matt, ALL snowflakes are notoriously different. What a great analogy that shows that you are not looking at the individuality of each person. That is a large part of the problem with the medical profession.

F31d10b54b31428e189d9b771bf7b1d1

(1439)

on June 18, 2012
at 04:41 PM

That sounds like assault to me. You might try suing the doctor and the hospital.

03a4ec34751186201a56da298ac843ce

(4100)

on June 17, 2012
at 08:02 PM

Roflmao that is too funny

4ef079c57d2140bba4dbf4e30240a645

(4413)

on June 17, 2012
at 06:21 PM

Mindless medicine.

4ef079c57d2140bba4dbf4e30240a645

(4413)

on June 17, 2012
at 06:19 PM

Scary indeed. VERY scary and frustrating.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 05:04 PM

Also, I dropped a 45lb weight on my toe a couple of months ago, so I have a lot of empathy for that. :)

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 04:45 PM

Yes, it's a very dangerous thing when doctors ascribe everything, just everything, that's a health complaint by overweight patients to our weight.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 04:41 PM

My daughter sees tons of specialists, she had a stroke at birth. I find that the pediatric specialists are much more informed and helpful than GPs. I'm surprised that this one wasn't better informed that excema is an auto-immune disorder.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 04:29 PM

That's just laziness on that doctor's part. Pure laziness.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 04:28 PM

That is so harmful and unthinking.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 04:25 PM

Oh dear! Yeah, that would not inspire trust.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 04:24 PM

I'm so glad that your doctor made the right decision about having the training and having the resident apologise. I'm happy that you voiced your unhappiness. It can be very difficult to figure out exactly in the moment, why we're unhappy, but each time, it's a learning experience for the next.

F31d10b54b31428e189d9b771bf7b1d1

(1439)

on June 17, 2012
at 03:16 PM

Good for you, Ebice. Right on!!!!!

F31d10b54b31428e189d9b771bf7b1d1

(1439)

on June 17, 2012
at 03:09 PM

+1 "The stupidest thing a doctor has ever said to me wasn’t his words… but his assumptions" The end of the beginning of your journey towards health wisdom will happen when you stop respecting the field of medicine.

F31d10b54b31428e189d9b771bf7b1d1

(1439)

on June 17, 2012
at 03:05 PM

Health wisdom begins when a person realizes that most MDs are not healers and will say ANYthing to get you to not take responsibility for your health. I also gave you a 1+.

Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on June 17, 2012
at 01:38 PM

Someone gets out of bed the wrong way...:P

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 17, 2012
at 01:16 PM

That's not my point at all, Karen. My point is that unique snowflakes tend to thing generic medical advice doesn't apply to them, they're unique snowflakes and not like the rest of us. And as this thread grows, it's more and more clear that paleo attracts folks who tend to be unique snowflakes.

782d92f4127823bdfb2ddfcbcf961d0e

(5231)

on June 17, 2012
at 01:07 PM

+1 for you really need to be your own advocate.

5ccb98f6ae42ce87e206cf3f6a86039f

(11581)

on June 17, 2012
at 11:26 AM

-1 for the suggestion that anyone who disagrees with your statements must be a "snowflake".

5ccb98f6ae42ce87e206cf3f6a86039f

(11581)

on June 17, 2012
at 11:20 AM

+1 "The stupidest thing a doctor has ever said to me wasn’t his words… but his assumptions"

F31d10b54b31428e189d9b771bf7b1d1

(1439)

on June 17, 2012
at 05:31 AM

MDs are great to acute and traumatic health issues. For prevention and healthy habits, they are a freaking joke. I suggest that you stop worshiping at the altar of modern medicine.

19acef0aed67ef8dc1118d8e74edb349

(2954)

on June 17, 2012
at 03:24 AM

*nurse sticks needle in my arm like there's a contest on brute force* ... *I go **"OWW!"** and my arm bends on itself hand to shoulder* ... *nurse: **"Oh I'm sorry, did that hurt?!"** ... I never had a problem with anyone else, they're generally gentle ... She must hate her job, but don't take it out on me! :P

19acef0aed67ef8dc1118d8e74edb349

(2954)

on June 17, 2012
at 03:20 AM

"While we're at it, why don't you remove my kidney?"

03a4ec34751186201a56da298ac843ce

(4100)

on June 17, 2012
at 02:37 AM

Wow, that's really awful :-( Hope you feel better soon.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 16, 2012
at 07:39 PM

All my paleo opinions are based on quotes from movies. :)

5e5ff249c9161b8cd96d7eff6043bc3a

(4713)

on June 16, 2012
at 07:34 PM

+1 because those last two sentences made me think of Fight Club and laugh.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 16, 2012
at 07:17 PM

Human biochemistry/physiology follows a rather small set of rules, those are the broad strokes.

1edb06ded9ccf098a4517ca4a7a34ebc

(14952)

on June 16, 2012
at 07:17 PM

I agree with Matt. If an anorexic person went to your doctor with a small waist and eating 400 calories a day, the doctor would have told him/her that they need to gain weight and eat at least 3x as many calories. It would not be a "stupid" thing to say and could help save that person's life.

1edb06ded9ccf098a4517ca4a7a34ebc

(14952)

on June 16, 2012
at 07:15 PM

I agree with Matt. If an anorexic person went to your doctor with a small waist and eating 400 calories a day, the doctor would have told him/her that they need to gain weight and eat at least 3x as many calories. It would not be a "stupid" thing to say.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 16, 2012
at 07:15 PM

They're little white things that fall from the sky. Each one is unique but they can be summarized with very broad strokes.

1edb06ded9ccf098a4517ca4a7a34ebc

(14952)

on June 16, 2012
at 07:14 PM

I agree with Matt. If an anorexic person went to your doctor with a small waist and eating 400 calories a day, the doctor would have told him/her that they need to gain weight and eat at least 3x as many calories.

782d92f4127823bdfb2ddfcbcf961d0e

(5231)

on June 16, 2012
at 06:45 PM

Congratulations upon your accomplishment! Personally, I would ignore (or at least be suspect of) anyone with one-size-fits-all advice.

Cbefa424c2bb2c62eb660e1102f7bf62

(88)

on June 16, 2012
at 06:42 PM

Your doctor popped in? How nice of him!!

4ef079c57d2140bba4dbf4e30240a645

(4413)

on June 16, 2012
at 06:27 PM

Matt I suggest you look at more snowflakes - literally. You snowflake metaphor (I think its a metaphor) is flawed. This is an amazing book and fun book: http://mocoloco.com/art/archives/010267.php

4ef079c57d2140bba4dbf4e30240a645

(4413)

on June 16, 2012
at 06:24 PM

Matt I suggest you look at more snowflakes.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 16, 2012
at 06:19 PM

I fully expect to get downvoted by all the unique snowflakes of the world. :) Again, neither you nor I know exactly what the resident knew following a brief history and measurements. It's totally likely that the OP has lost 100 pounds and still has a ways to go to approach normal. More likely than the OP being an exception to the rules.

61844af1187e745e09bb394cbd28cf23

(11058)

on June 16, 2012
at 06:13 PM

Yay for writing a letter!

61844af1187e745e09bb394cbd28cf23

(11058)

on June 16, 2012
at 06:11 PM

No, the standard line is not "good enough." Not knowing the OPs history means the resident had no business making such a generic statement. A quick look at the chart and she could have educated herself enough to know what the history was. Had she said that to someone in a very fragile mental state overcoming a serious eating disorder, she would have done far more harm than good.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 16, 2012
at 06:10 PM

It's not about being a snowflake, it *is* about taking body differences into account. I'm 5'10, of Russian descent. I have a large frame, and now very developed muscles. I am working on losing belly fat, still. MY BFF is the same height as me, but her whole frame, her shoulders, her hips, is slight. And she has almost no muscle. Unless I lose all my fat and muscle, we will NEVER be the same size. Even then, because she's just built like she is.What I would rather the doctor take into account is my excellent lab work, my excellent blood pressure, and my active, healthy lifestyle. I am healthy.

4ef079c57d2140bba4dbf4e30240a645

(4413)

on June 16, 2012
at 05:56 PM

Thank you both! Keep it up Crowbar.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 16, 2012
at 05:51 PM

My labs are really good, and I feel great. I'm not hungry, and for the first time in my life, I feel really good about my food. I wish I had said that, too. I am use to defending myself from the position of being obese. so now that I'm not, I'll have to relearn all that. Thank you for your great response.

61844af1187e745e09bb394cbd28cf23

(11058)

on June 16, 2012
at 05:41 PM

I'd up-vote this a million times if I could.

61844af1187e745e09bb394cbd28cf23

(11058)

on June 16, 2012
at 05:25 PM

Also, make sure you let your doc know what her statement was and how offensive it was. They are there to guide the residents and for many, bed-side manner must be learned.

61844af1187e745e09bb394cbd28cf23

(11058)

on June 16, 2012
at 05:24 PM

All women? There is no consideration for bone structure or body composition in that statement. As I get older, I am less concerned at holding my tongue and would have told her to get out!

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 16, 2012
at 05:24 PM

My regular doctor knows, I've had him for over ten years. He popped induring the visit, but wasn't there for the comment.

58d456f4c4d551a697e65ada8c32ad4f

(1178)

on June 16, 2012
at 05:20 PM

Oh new residents. My sister in law is one, too. Knows everything... Might be time for a new doctor? And or, let them know your history and how far you've come in the past year.

  • Cc3ce03985eac5ebcbb95fc2329f13b0

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29 Answers

best answer

34
4ef079c57d2140bba4dbf4e30240a645

on June 16, 2012
at 05:36 PM

Crowbar, Im sorry about these stupid and insensitive comments. It annoyed me too, for you!

What's wrong with them, sadly, is that with very few exceptions, medical doctors know almost nothing of importance about nutrition and exercise and what is required to prevent disease or get back into good health.

The surgeon's comment is funny. Isn't 1300 between 900-1500?! Anyway, she is a surgeon, and perhaps a good surgeon. Surgeon's don't do a lot of primary care.

As for the resident - that's a good teaching moment for her. I wish you would have said something like "Since you are learning to be a doctor, it will be important for you to think about what you say to patients. I've lost over 100 pounds in the past year and I exercise 5x a week. My A1C was excellent last time (throw out other labs she will "get") and it really doesn't help me at all when you point out that I have a ways to go. I am working on my health every single day. Please don't try to put me into your standardized box. Clearly I know I have a ways to go and Im working my butt off to get there." Something like that. Teach her a thing or two about why what she said was not helpful.
Its not too late to write a letter!

Also, think about perhaps sharing less details and protecting yourself from scrutiny since most people are idiots on this stuff compared to what you know. Just a thought. Or have a good comeback like "Well, lets see....I've lost over 100 pounds, I exercise everyday, I feel great and my labwork is stellar so those calorie charts clearly don't apply to everyone".

As for whether or not you are eating enough - are you hungry? Is your hair and skin healthy? Lots of people have slow metabolism/sluggish thyroid. Has that been checked?

Keep up the fabulous work.

4ef079c57d2140bba4dbf4e30240a645

(4413)

on June 16, 2012
at 05:56 PM

Thank you both! Keep it up Crowbar.

61844af1187e745e09bb394cbd28cf23

(11058)

on June 16, 2012
at 06:13 PM

Yay for writing a letter!

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 16, 2012
at 05:51 PM

My labs are really good, and I feel great. I'm not hungry, and for the first time in my life, I feel really good about my food. I wish I had said that, too. I am use to defending myself from the position of being obese. so now that I'm not, I'll have to relearn all that. Thank you for your great response.

61844af1187e745e09bb394cbd28cf23

(11058)

on June 16, 2012
at 05:41 PM

I'd up-vote this a million times if I could.

14
03a4ec34751186201a56da298ac843ce

on June 17, 2012
at 01:43 AM

When I was inititally diagnosed with cancer, during a very painful pelvic exam, the dr kept saying over and over, " I am not hurting you, I am not hurting you." I wanted to kick him in the face. I had also asked him why he had chosen to be a gyn oncologist and he told me, "I like to do surgery and the money is great." I never went back.

My oncologist at Sloan Kettering (supposed to be the best and the brightest, right?) has told me not to take vitamin c because it causes cancer.

Oh, and my original surgeon prescribed estrogen for me, even though he left in my ovaries, despite the fact that many cervical cancers have estrogen receptors and are estrogen sensitive.

You really need to be your own advocate when it comes to medicine. My father is a doctor ad my mother is s nurse and the horror stories they could tell you about other doctors are unbelievable.

F31d10b54b31428e189d9b771bf7b1d1

(1439)

on June 17, 2012
at 03:05 PM

Health wisdom begins when a person realizes that most MDs are not healers and will say ANYthing to get you to not take responsibility for your health. I also gave you a 1+.

782d92f4127823bdfb2ddfcbcf961d0e

(5231)

on June 17, 2012
at 01:07 PM

+1 for you really need to be your own advocate.

13
A6e2b231f69366ce825476c5a6dcfff6

(1967)

on June 17, 2012
at 03:00 PM

When I was in college I came down with a nasty cold. I'd spent half a day alternating between freezing and melting. I stumbled my way to the on campus clinic. Despite there being no one there, I was told I needed an appointment and the first opening was the following tuesday, 6 days away. I got a friend to take me to the ER. I got checked out, and left alone for almost 20 min when a nurse came in and congratulated me, I was pregnant.
I asked for a second opinion because I'm male. Another 20 min wait and she comes back, I have the flu.

Ever since then I don't trust doctors.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 04:25 PM

Oh dear! Yeah, that would not inspire trust.

F31d10b54b31428e189d9b771bf7b1d1

(1439)

on June 17, 2012
at 03:16 PM

Good for you, Ebice. Right on!!!!!

03a4ec34751186201a56da298ac843ce

(4100)

on June 17, 2012
at 08:02 PM

Roflmao that is too funny

31381cfeb5d6da6fc75f80ab68e041ea

(560)

on July 10, 2012
at 09:34 PM

lol "i asked for a second opinion because i'm male"

10
76026e8ef496039d5075440ff731aa0d

on June 16, 2012
at 06:43 PM

"I want to know what the stupid things medical professionals have told you?"

When speaking with a doctor in the office I have to repeat to myself???general practitioner???general practitioner ???general practitioner ???this person is just PRACTISING right now???practise practise???the problem is they never seem to practise a bedside manner ???meaning???focus on who???s with you now, not on who???s next, and most importantly listen and let it absorb.

I went in to have my big toe looked at because I was having an odd pain and wanted to make sure I hadn???t done some major damage to it after a 60 pound dumb bell rolled off a bench and smashed it???My GP told me I was fat ??????I blinked wondering how that was effecting my toe pain??? I told him I lost 40 pounds ???he told me to lose more???I told him??? keep practising. He didn???t understand what I meant at first, but then it clicked and he seemed pissed, but it was quickly apparent that I wasn???t the first one to have said something similar to him???

I respect the field of medicine, I respect the amount of time and effort that goes into what is a field that can be one of the most stressful jobs in the world, and I respect the amount of sheer knowledge that is stored away in order to help diagnose what might be wrong with an individual on any given day...BUT???given the amount of medical errors resulting in deaths that occur EACH year (6th leading cause of death in the USA by some estimates)???I refuse to be treated as though I don???t know ANYTHING and that my questions and opinions are somehow negated because you studied a whole semester on diet and nutrition and the topic I???m discussing was never covered, ergo...has no value...and that if something is wrong with you, it???s because you???re fat???it???s gotta be it!

The stupidest thing a doctor has ever said to me wasn???t his words??? but his assumptions

Truth.

5ccb98f6ae42ce87e206cf3f6a86039f

(11581)

on June 17, 2012
at 11:20 AM

+1 "The stupidest thing a doctor has ever said to me wasn’t his words… but his assumptions"

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 05:04 PM

Also, I dropped a 45lb weight on my toe a couple of months ago, so I have a lot of empathy for that. :)

F31d10b54b31428e189d9b771bf7b1d1

(1439)

on June 17, 2012
at 03:09 PM

+1 "The stupidest thing a doctor has ever said to me wasn’t his words… but his assumptions" The end of the beginning of your journey towards health wisdom will happen when you stop respecting the field of medicine.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 04:45 PM

Yes, it's a very dangerous thing when doctors ascribe everything, just everything, that's a health complaint by overweight patients to our weight.

9
93eea7754e6e94b6085dbabbb48c0bb7

on June 17, 2012
at 02:22 AM

The dumbest thing I've ever been told by a doctor is when I got my blood work back and I had HDL 100 and LDL 121 so total cholesterol= over 200! She had a freak out and said, "Wow your bloodwork is in bad shape, I highly recommend seeing a nutritionist." Pshh, and then she wanted me to get a flu shot!

19acef0aed67ef8dc1118d8e74edb349

(2954)

on June 17, 2012
at 03:20 AM

"While we're at it, why don't you remove my kidney?"

8
6371f0ae0c075ded1b8cd30aafd4bf16

on June 17, 2012
at 02:10 AM

It's what they told me and what they didn't tell me. About a year ago, my Endo had me do an endoscopy to determine if I had Celiacs. I ended up doing it and have had digestion issues ever since. I just found out from my PCP that at that time they found out I had gastritis and a stomach ulcer but failed to tell me until two days ago. Now I have to due some heavy damage control and try to kill off the H. pylori that is causing the ulcer as it seems to be the cause of my digestion issues.

03a4ec34751186201a56da298ac843ce

(4100)

on June 17, 2012
at 02:37 AM

Wow, that's really awful :-( Hope you feel better soon.

31381cfeb5d6da6fc75f80ab68e041ea

(560)

on July 10, 2012
at 09:33 PM

oh my gosh! i'm so sorry! how are you feeling now?

6371f0ae0c075ded1b8cd30aafd4bf16

on July 11, 2012
at 01:29 AM

Digestion is getting better but I'm still having issues with my lightheadedness.

75d65450b6ff0be7b969fb321f1200ac

(2506)

on February 10, 2013
at 01:55 PM

That's outrageous. When I reported to my Endo of strange stomach pains and digestion issues he wanted to do an endoscopy. I said "can I perhaps be check for H. pylori first through a blood test which might make the endoscopy unnecessary?". He said "I don't think your problem is bacteria in origin". So I had an endoscopy and sure enough was diagnosed with H. pylori, ... and I am 100% better now. But I will not go back to that Endo.

6
01eb62476756ea980bf8fc048179d4bc

(374)

on June 17, 2012
at 12:54 PM

My bloodwork was showing that I was anemic and my PCP said that it was normal for women to be anemic, because we lose so much blood during menstruation. First of all, it is not normal to be anemic, even if you are menstruating. Second, I hadn't gotten my period in about five months, so it is doubtful that this would be the cause of the anemia. On top of that, after learning about my lack of period and my concern over it, she did nothing to look into the cause.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 04:29 PM

That's just laziness on that doctor's part. Pure laziness.

6
C2450eb7fa11b37473599caf93b461ef

on June 17, 2012
at 12:41 PM

My daughter's pediatrician told me that her eczema couldn't possibly be related to any food allergies, because eczema isn't a symptom of allergic response. (This was after the allergist told me that the foods causing eczema were difficult to pin down because eczema is usually a result of combined multiple immediate onset and delayed onset allergies.)

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 04:41 PM

My daughter sees tons of specialists, she had a stroke at birth. I find that the pediatric specialists are much more informed and helpful than GPs. I'm surprised that this one wasn't better informed that excema is an auto-immune disorder.

6
518bce04b12cd77741237e1f61075194

(11577)

on June 17, 2012
at 01:25 AM

I think that the point made by Crowlover is a good one- if you can, let the person know! I've had a couple run-in's, the most traumatic of which was a young resident telling me that I didn't actually have a heart condition and that I probably was just quite anxious and should be put on anti-anxiety meds. This was AFTER I'd already had a heart surgery. Not helping the "delicate female" label that had just been slapped on me, I burst into tears and proceeded to get very upset and leave the appointment. After taking a few days to compose, I called the office and had a long conversation with the receptionist who then passed me on to my cardiologist who apologized profusely. At the next appointment the receptionist told me that the incident had inspired the cardiologist to bring in a group that taught all the staff (cardiologists, LPN's, RN's, residents) about prejudice and gender bias when treating patients. My cardiologist brought the resident in to apologize to me, and it all ended up being a good experience overall. My cardiologist was always wonderful to me, and still is- he even teared up when he had to cancel one of my surgeries. This incident impressed me as one of the few that ended up with a positive resolution. I wonder, however, if patients were more vocal about their feelings, if this would happen a lot less. I think particularily what you are talking about, which would be the very sensitive topic of weight, needs to be drilled into physicians and dietitians (as a future dietitian, holy crap do the students need to hear WAAAAAAY more about this) how to approach it. Right now it is dealt with so insensitively or awkwardly, or just not at all. It is truly horrible some of the things I've heard about that doctors have said to even modestly overweight patients- I can't imagine the harassment (and it many cases it could literally be called harassment because it is so disrespectful and condescending) that any obese patients must undergo.

Another incident was a very odd remark that made me extremely uncomfortable during a pelvic examination- young guy, I think he had no idea that it freaked me out. Thinking back, I kick myself for not mentioning it directly to him or to the receptionist (who I even knew) on my way out. Could have saved the doctor making that same weird comment to dozens of other women before someone down the line pointed out to him that it was a very odd thing to say at totally the wrong time. We get really frightened of policing other people when they get out of line, I wish that it was easier and we had more avenues to do so without worrying about being offensive or picky, even though we deserve to be picky when it comes to our comfort and health.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 04:24 PM

I'm so glad that your doctor made the right decision about having the training and having the resident apologise. I'm happy that you voiced your unhappiness. It can be very difficult to figure out exactly in the moment, why we're unhappy, but each time, it's a learning experience for the next.

4
3491e51730101b18724dc57c86601173

(8395)

on February 10, 2013
at 04:42 AM

My daughter has a PCOS diagnosis, as do I. Last time we had to go to urgent care the doctor who saw her said she couldn't have PCOS because she is thin. So was I until my mid thirties, but I've always had severe PCOS. There's a presumption that obesity causes PCOS, but that's a myth and the doctor should have known better.

An endocrinologist told me that diet could not affect thyroid.

4
3ab63fb5ddb0180f2ebb077c487fbbc4

on June 17, 2012
at 05:52 PM

I work at a Women's shelter that is owned by a hospital so when I got hired I had to go through hospital orientation as well. When the CEO of the hospital did her presentation she proudly said "Our goal by 2013 is to be doing 30% more surgeries, because that is where the money is at and that is what gives you all job security" So much for preventative medicine.

I was in the ER not too long ago and I told the Dr. that I did not want Dilaudid for pain, for whatever reason it is ineffective for me. I get lots of side effects from it but no pain relief, I explained that I would rather have a weaker medication, but I DID NOT want Dilaudid. Without my knowledge he gave me the appropriate dosage of Dilaudid for a 300 pound person. I am 130 pounds, when I discovered this (because I still had pain as well as a host of other discomforts now) he said that he figured Dilaudid was ineffective because I just hadn't been given enough before and that it was the BEST pain medication they had. Too often patients are not looked at as individuals but rather as a case study from a text book. Guidelines are just that, they are generalized guidelines, they are not hard and fast rules for how everyone will respond.

F31d10b54b31428e189d9b771bf7b1d1

(1439)

on June 18, 2012
at 04:41 PM

That sounds like assault to me. You might try suing the doctor and the hospital.

4
F31d10b54b31428e189d9b771bf7b1d1

on June 17, 2012
at 05:29 AM

When it comes to health, conventional doctors are useless and often dangerous. My worse experience was one telling my wife that she needed a radical hysterectomy because my wife had endometriosis. I had every intention to not listening to their treatment plan; I just want a diagnosis for her, not a treatment plan. We tried homeopathy and traditional Chinese medicine. We now have two lovely children that anyone would envy.

7dab2d8c97e44d8d0c298e5c9d5d75bc

(641)

on January 04, 2013
at 01:03 PM

Awesome story! Thank you for posting!

4
7f8bc7ce5c34aae50408d31812c839b0

(2698)

on June 17, 2012
at 04:37 AM

Stupidest thing my doctor ever told me was that supplementing with T4 thyroid hormone is better then T3 because T4 is the active form of the hormone.

It's not that I have a problem supplementing T4 it's just that he's so stupid he doesn't understand the relationship between T4 and T3 properly.

Scary.

4ef079c57d2140bba4dbf4e30240a645

(4413)

on June 17, 2012
at 06:19 PM

Scary indeed. VERY scary and frustrating.

4
7601e9fe483193a2b5521aa6feb72060

on June 17, 2012
at 04:23 AM

Stupid things people say...I have a good friend who is 58; walks everyday; does pilates and yoga a few times a week; and jogs frequently. She's as slim as can be, bordering on skinny. When she got her blood work results, they told her that her LDL was high so she should lose weight and do more exercise. Seriously?

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 17, 2012
at 04:28 PM

That is so harmful and unthinking.

4ef079c57d2140bba4dbf4e30240a645

(4413)

on June 17, 2012
at 06:21 PM

Mindless medicine.

4
32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 16, 2012
at 05:42 PM

Recommendations, as you received, just cover the most people. Without a detailed medical history and measurements, the standard line is usually good enough. Is a 31 inch waist too small for you? I doubt it, then again, I don't know your background and nor am I a doctor with experience enough to make such recommendations. I certainly don't think it was rude of the resident to say that to you - maybe it lacked a little sugar coating.

As for your energy intake. BMR is coma-level energy, required for basic function and upkeep. If your BMR is approximately 1700 calories, eating 900-1500 calories is starvation. By the time you apply a fairly active activity modifier (1.3-1.5), your maintenance calories are somewhere around 2400. You're talking 1000-1500 calorie deficit daily, seems aggressive to me.

Of course, everybody wants to think they're some unique snowflake, but lets face it, most snowflakes look alike. More often than not, generic recommendations are applicable.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 16, 2012
at 07:17 PM

Human biochemistry/physiology follows a rather small set of rules, those are the broad strokes.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 16, 2012
at 07:15 PM

They're little white things that fall from the sky. Each one is unique but they can be summarized with very broad strokes.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 16, 2012
at 06:19 PM

I fully expect to get downvoted by all the unique snowflakes of the world. :) Again, neither you nor I know exactly what the resident knew following a brief history and measurements. It's totally likely that the OP has lost 100 pounds and still has a ways to go to approach normal. More likely than the OP being an exception to the rules.

1edb06ded9ccf098a4517ca4a7a34ebc

(14952)

on June 16, 2012
at 07:14 PM

I agree with Matt. If an anorexic person went to your doctor with a small waist and eating 400 calories a day, the doctor would have told him/her that they need to gain weight and eat at least 3x as many calories.

4ef079c57d2140bba4dbf4e30240a645

(4413)

on June 16, 2012
at 06:24 PM

Matt I suggest you look at more snowflakes.

Cc3ce03985eac5ebcbb95fc2329f13b0

(7370)

on June 16, 2012
at 06:10 PM

It's not about being a snowflake, it *is* about taking body differences into account. I'm 5'10, of Russian descent. I have a large frame, and now very developed muscles. I am working on losing belly fat, still. MY BFF is the same height as me, but her whole frame, her shoulders, her hips, is slight. And she has almost no muscle. Unless I lose all my fat and muscle, we will NEVER be the same size. Even then, because she's just built like she is.What I would rather the doctor take into account is my excellent lab work, my excellent blood pressure, and my active, healthy lifestyle. I am healthy.

1edb06ded9ccf098a4517ca4a7a34ebc

(14952)

on June 16, 2012
at 07:15 PM

I agree with Matt. If an anorexic person went to your doctor with a small waist and eating 400 calories a day, the doctor would have told him/her that they need to gain weight and eat at least 3x as many calories. It would not be a "stupid" thing to say.

1edb06ded9ccf098a4517ca4a7a34ebc

(14952)

on June 16, 2012
at 07:17 PM

I agree with Matt. If an anorexic person went to your doctor with a small waist and eating 400 calories a day, the doctor would have told him/her that they need to gain weight and eat at least 3x as many calories. It would not be a "stupid" thing to say and could help save that person's life.

5ccb98f6ae42ce87e206cf3f6a86039f

(11581)

on June 17, 2012
at 11:26 AM

-1 for the suggestion that anyone who disagrees with your statements must be a "snowflake".

61844af1187e745e09bb394cbd28cf23

(11058)

on June 16, 2012
at 06:11 PM

No, the standard line is not "good enough." Not knowing the OPs history means the resident had no business making such a generic statement. A quick look at the chart and she could have educated herself enough to know what the history was. Had she said that to someone in a very fragile mental state overcoming a serious eating disorder, she would have done far more harm than good.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 17, 2012
at 01:16 PM

That's not my point at all, Karen. My point is that unique snowflakes tend to thing generic medical advice doesn't apply to them, they're unique snowflakes and not like the rest of us. And as this thread grows, it's more and more clear that paleo attracts folks who tend to be unique snowflakes.

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 16, 2012
at 07:39 PM

All my paleo opinions are based on quotes from movies. :)

4ef079c57d2140bba4dbf4e30240a645

(4413)

on June 16, 2012
at 06:27 PM

Matt I suggest you look at more snowflakes - literally. You snowflake metaphor (I think its a metaphor) is flawed. This is an amazing book and fun book: http://mocoloco.com/art/archives/010267.php

5e5ff249c9161b8cd96d7eff6043bc3a

(4713)

on June 16, 2012
at 07:34 PM

+1 because those last two sentences made me think of Fight Club and laugh.

Bb3d1772b28c02da2426e40dfcb533f5

(5381)

on June 17, 2012
at 01:38 PM

Someone gets out of bed the wrong way...:P

32f5749fa6cf7adbeb0b0b031ba82b46

(41747)

on June 18, 2012
at 06:03 PM

The OP was confusing generic advice with poor advice. Generic medical advice is not necessarily stupid nor poor.

F31d10b54b31428e189d9b771bf7b1d1

(1439)

on June 18, 2012
at 04:45 PM

Matt, ALL snowflakes are notoriously different. What a great analogy that shows that you are not looking at the individuality of each person. That is a large part of the problem with the medical profession.

3
D87cf7bb07cfc85acf7203c17065d239

(268)

on February 10, 2013
at 02:12 AM

A physicians assistant dx'd me with celiac disease and failed to tell me that rye and barley contain gluten. She also said the paleo diet allows grains, except corn and wheat.

F15e0bae42dbf0b8cfc71e62902497b4

(2036)

on February 10, 2013
at 06:49 AM

Better than the doctor who diagnosed me with IBS based on symptoms and zero testing, told me to go get some of that "double fiber" whole grain bread and take metamucil. I had/have celiac. Didn't find out until 3 years (and a lot of fiber) later.

2
8e10b687e328468783a72c55b64710e8

on June 17, 2012
at 05:43 PM

A doctor told me to drink more juices and whole grain bread. I always had malnutrition problems as a young child. :s

2
65bf1ca7071028018c6d8305d0ddcd76

(3049)

on June 17, 2012
at 05:11 PM

"I'm really not sure what the symptoms point to. Come back in the next week if it persists. In the meantime, can prescribe you something if you want."

WHAT!? You don't know what's going on and you want to prescribe me something?! No thanks! I ran outta that office.

1
A3a4696c919e916ec971691559e9c942

(2043)

on February 28, 2013
at 12:42 PM

While I completely agree that medical professionals often say ridiculous things I can't help but wonder what kind of responses they would give if we asked "what stupid things have your patients told you?" Just a thought.

1
5ccb98f6ae42ce87e206cf3f6a86039f

(11581)

on February 10, 2013
at 02:04 PM

Your blood glucose is high. Here is some info from the ADA, go check out the diet on their website.

1
75d65450b6ff0be7b969fb321f1200ac

(2506)

on February 10, 2013
at 02:00 PM

I went to a dermatologist and told him I cleared my severe hand-foot psoriasis through diet, in particular Paleo/SCD diet. He didn't inquire further and just said I was "lucky".

Lucky? Lucky is someone who wins the lottery. I don't consider healing a medical condition through a means that others have reported success with as "luck". The derm's comment simply reflected his ignorance wrt the power of diet and nutrition.

And no, I didn't go back to that dermatologist.

_Lazza

1
6a67d10bc4a9b73ebcc5adad4a3b5c42

on February 10, 2013
at 09:57 AM

I went to the doctor about digestive issues about 3-4 weeks after starting paleo. I told her that I had cut out all grains and was only eating meat, vegies, fruits and some dairy. She said, 'but you can have rice, yes?'

I had to remind her that rice is a grain.

1
F31d10b54b31428e189d9b771bf7b1d1

on June 17, 2012
at 03:24 PM

Doctors have a monopoly by way of restricting the number of graduates of medical schools and using governmental power to maintain their monopoly, like suppressing homeopathy, slamming divergent ideas, like Gerson, etc. etc. etc. It probably stems from the fact that we have an archetype of the Priest in our subconscious, and since religion is sort of out these days, doctors have become our "Priests". Consequently, there is no market force to keep doctors honest or competent. If you go into the local grocery store, the store owners know that if they do not give you value for your dollar, you will go elsewhere. Where are you going to go when you are dissatisfied with your doctor? Another doctor? But they are all colluding to give basically the same treatments. If a doctor seems like he/she cares and is doing a good job and perhaps hopefully is looking for solutions outside of the box, it is only because of their good character and heart. It is NOT because market forces have encouraged them or selected them to care and to listen and to look outside the box.

532cfd279d793e8fcc23b9f6d91dde5c

(1981)

on February 10, 2013
at 04:13 AM

Homeopathy is not suppressed, last I checked, Boiron products were taking up 8 feet of shelving at the wal-mart pharmacy. It just doesn't have any good supporting evidence.

0
37cc142fbb183f2758ef723a192e7a9d

(1353)

on August 07, 2013
at 12:46 AM

"Be careful because we need grain-based fibre in order to digest properly."

0
D396b126240f584bc358e6e4fd84e9e3

on August 06, 2013
at 03:35 PM

I went into the ER with the classic signs of appendicitis (including extreme tenderness at McBurney's point). Without any tests whatsoever, they told me it was likely a kidney stone and tried to send me home. I insisted on a CAT scan. 30 minutes after the CAT scan the chief of surgery came into my room and told me they needed to prep me for surgery asap. She explained that my appendix was severely inflamed and life threatening. It ended up bursting during surgery and I had to spend a week in the hospital. If I had gone home, I may have died.

0
8022483a915e608f1a2999a82d51b436

on August 06, 2013
at 06:29 AM

I have had undiagnosed medical issues for many years. Undiagnosed bone lesion that cannot be safely biopsied and constant severe infections of all sorts.Doctor have gotten frustrated because they cant find the cause. One doctor said to me very loudly " Whats wrong with you? ITS LIKE YOU HAVE AIDS!" and when it was clear to him he yelled it so loudly everyone in the waiting room could hear he then yelled awkwardly "BUT YOU DONT.....HAVE AIDS....BECAUSE WE TESTED YOU...".

0
0c8f3010ebaee7d5e9338e49824753af

(150)

on February 28, 2013
at 12:24 PM

I used to have severe hairloss due to PCOS, now its somewhat under control. Then, I had decided to visit a derma to get some multivitamin to give a push to my sluggish hair growth. I wasn't looking forward to any anti-androgen that would require me to have BCP (not a fan of it)

When I said I have PCOS, he said 'what?' After repeating again, I realized I have to tell the full form. It took him one good minute to think n say 'ooh, ok.. taking medication from a gyn?' I said no and he said 'GOOD!'

That sucks, you stupid doctor!

I showed him my ferritin and B-12 levels that were obnoxiously low. After knowing that it was self-tested, he said 'You think you are a doctor, self-proclaimed doctor, huh?'

My ears were steaming in anger.

Finally he rx'ed me biotin tablets telling my low levels are not related to hairloss.

Even if they are not, they are anyway low!

0
F02990386b12528111740ad6279ba29d

(1363)

on February 10, 2013
at 12:48 PM

I was once told that it is normal for some peoples shoulder to dislocate.

0
Ba0268a02c02863642b1394852566ab6

on February 10, 2013
at 03:47 AM

i had a lot of sweating on my palms and under my arms...i was told that i need botox

F15e0bae42dbf0b8cfc71e62902497b4

(2036)

on February 10, 2013
at 06:50 AM

that's a highly effective treatment.

Ba0268a02c02863642b1394852566ab6

(27)

on February 17, 2013
at 09:27 AM

right but it doesnt address the underlying concern

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